Group CoFacilitator Feedback Form

This form allows you an opportunity to provide feedback to the program about your Group CoFacilitator. This will help the program know more about your group co-facilitation experience and will help us determine whether to keep it on the approved list.

Please choose a response that most closely corresponds to how you feel about each statement.

Today's Date *

Name of Practicum Student Counselor *

Group Co-Facilitator Supervisor Name *

Agency Name *

The group co-leader was prepared for group counseling sessions and related tasks. *

The group co-leader was prompt for both group counseling and supervision sessions. *

The group co-leader behaved in an ethical and professional manner. *

The group co-leader seemed professionally trained in group counseling. *

Based on my experience, I would recommend this group co-facilitation experience to another student. *

Other Comments

Please use the space below for any other information you would like to bring to the program's attention. *

If you happen to see this, do not fill this field.